COLLEGE

OF
ENGINEERING
Unive University of the Philippines
Melchor Hall, U.P. Campus, Diliman, Quezon City, Philippines 1101
______________________________________________________________________________________________
Tel. No. 920-8860; 928-3144; 9818500 Loc. 3104

Instructions to the student: Fill up the student details in the upper part of the form and present this to the OCG.
Make sure to bring the signed certificate (bottom half) and present this when claiming your readmission results
at the College Sec Office.

TO: Office of Counseling and Guidance

Vinzon’s Hall, UP Diliman

Referral Slip

This is to refer our student whose details appear below for counseling and / or career assessment
evaluation in relation to his/her readmission appeal at the College of Engineering.

Name
Student Number
Degree Program
Readmission for Sem/AY

After availing of the OCG service/s, we request that a certificate be issued to the student as it is a
requirement for claiming his/her readmission appeal results from the College Secretary’s Office.

(no signature required)

JHOANNA RHODETTE PEDRASA
College Secretary

TO: College Secretary’s Office

College of Engineering, UP Diliman

Certification

This is to certify that the student whose details appear below has undergone counseling and / or career
assessment evaluation in relation to his/her readmission appeal at the College of Engineering.

Name
Student Number
Degree Program
Readmission for Sem/AY

Remarks: ___________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Counselor’s Name and Signature: __________________________________________

Date: ________________